Alemtuzumab-induced remission of multiple sclerosis-associated uveitis

被引:8
|
作者
Willis, Mark D. [1 ,2 ]
Pickersgill, Trevor P. [2 ]
Robertson, Neil P. [1 ,2 ]
Lee, Richard W. J. [3 ,4 ,5 ,6 ]
Dick, Andrew D. [3 ,4 ,5 ,6 ]
Carreno, Ester [3 ]
机构
[1] Cardiff Univ, Univ Hosp Wales, Inst Psychol Med & Clin Neurosci, Heath Pk, Cardiff CF14 4XN, S Glam, Wales
[2] Univ Hosp Wales, Dept Neurol, Heath Pk, Cardiff, S Glam, Wales
[3] Univ Hosp Bristol NHS Fdn Trust, Bristol Eye Hosp, Lower Maudlin St, Bristol, Avon, England
[4] Univ Bristol, Sch Clin Sci, Fac Hlth Sci, Bristol, Avon, England
[5] Moorfields Eye Hosp NHS Fdn Trust, Natl Inst Hlth Res Biomed Res Ctr, London, England
[6] UCL Inst Ophthalmol, London, England
关键词
Multiple sclerosis; Uveitis; Alemtuzumab; Intraocular inflammation; CAMPATH-1H; RECONSTITUTION; INTERFERON; THERAPY; DISEASE;
D O I
10.1007/s10792-016-0370-9
中图分类号
R77 [眼科学];
学科分类号
100212 ;
摘要
The purpose of the study was to report a case of multiple sclerosis (MS)-associated uveitis refractory to conventional immunosuppressants, with subsequent remission following treatment with alemtuzumab. Case report Patient was treated with intravenous alemtuzumab, a lymphocyte depleting anti-CD52 monoclonal antibody that has recently been approved for use in relapsing MS. A 17-year-old female presented with bilateral optic neuritis and subsequently bilateral intermediate uveitis and secondary macular oedema. She was diagnosed with active relapsing MS for which she received treatment with alemtuzumab. The intraocular inflammation previously refractory to conventional immunosuppressants responded to alemtuzumab, inducing remission. To our knowledge, this is the first such report of alemtuzumab treatment in MS-associated ocular inflammatory disease and may demonstrate a potential utility for this drug in related conditions.
引用
收藏
页码:1229 / 1233
页数:5
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